Evidence map›Paper›PMID 34674992›Full record

ArticleArchives of disease in childhood2022

Haemoglobin and red blood cell reference intervals during infancy.

Sara Marie Larsson, Lena Hellström-Westas, Andreas Hillarp, Pia Karlsland Åkeson, Magnus Domellöf, Ulrica Askelöf, Cecilia Götherström, Ola Andersson

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Article in Archives of disease in childhood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sara Marie LarssonDepartment of Clinical Chemistry, Halland Hospital, Halmstad/Varberg, Sweden marie.larsson@med.lu.se.ORCID 0000-0002-2562-080X
Lena Hellström-WestasDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-3498-6069
Andreas HillarpDepartment of Translational Medicine, Lund University, Lund, Sweden.
Pia Karlsland ÅkesonDepartment of Clinical Sciences Malmö, Preventive Paediatrics, Lund University, Lund, Sweden.
Magnus DomellöfDepartment of Clinical Sciences, Paediatrics, Umeå University, Umeå, Sweden.ORCID 0000-0002-0726-7029
Ulrica AskelöfDepartment of Clinical Science, Intervention and Technology, Division of Obstetrics and Gynecology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-2010-3130
Cecilia GötherströmDepartment of Clinical Science, Intervention and Technology, Division of Obstetrics and Gynecology, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-3782-0048
Ola AnderssonDepartment of Clinical Sciences Lund, Paediatrics, Lund University, Lund, Sweden.ORCID 0000-0002-3972-0457

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is a need for updated haematological reference data in infancy. This study aimed to define intervals for haemoglobin and red blood cell biomarkers based on data from a large cohort of longitudinally followed Swedish infants.

designLongitudinal cohort study.

settingTwo Swedish study centres.

participantsThree community-based populations including 442 presumably healthy infants born at term and with umbilical cord clamping delayed to 30 s or more after birth.

methodsBlood samples were collected from umbilical cord blood (a), at 48-118 hours (b), at 4 months (c) and at 12 months (d). Reference intervals as the 2.5th and 97.5th percentiles were calculated in coherence with Clinical and Laboratory Standards Institute guidelines.

resultsReference intervals for haemoglobin (g/L) were: (a) 116-189, (b) 147-218, (c) 99-130, (d) 104-134, and for mean cell volume (fL): (a) 97-118, (b) 91-107, (c) 71-85, (d) 70-83. Reference intervals for erythrocyte counts, reticulocyte counts, reticulocyte haemoglobin, mean cell haemoglobin and mean cell haemoglobin concentration were also estimated. According to the WHO definition of anaemia, a haemoglobin value less than 110 g/L, 16% of this presumably healthy cohort could be classified as anaemic at 12 months.

conclusionWe found mainly narrower reference intervals compared with previously published studies. The reference intervals for each parameter varied according to the infants' age, demonstrating the necessity of age definitions when presenting infant reference intervals. The discrepancy with the WHO classification for anaemia at 12 months, despite favourable conditions in infancy, needs future investigation.

Indexed as

AnemiaHemoglobinsErythrocytesHumansInfantLongitudinal StudiesReference ValuesHemoglobinsbiochemistrygrowthhealth services researchstatisticstechnology

Identifiers

PMID34674992
PMCPMC8938674

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